Blumenfeld, Donna

Blumenfeld, Donna is an sole proprietor health care provider with primary practice located at 1919 5Th St Ste O , Santa Fe NM 87505-6012. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Blumenfeld, Donna can be contacted via phone (505) 461-1219.

Contact Information

Primary practice address
1919 5Th St Ste O Santa Fe NM 87505-6012
Phone: (505) 461-1219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CCMH0207031 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CCMH0207031 New Mexico
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1134582612
LBN Legal business name Blumenfeld, Donna
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2016
Last updated Nov 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134582612 NPPES
New Mexico MEDICAID 1134582612

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